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The Science & Process of Healing from Grief | Huberman Lab Essentials

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The Science & Process of Healing from Grief | Huberman Lab Essentials

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894 segments

0:00

Welcome to Huberman Lab Essentials,

0:02

where we revisit past episodes for the

0:04

most potent and actionable science-based

0:06

tools for mental health, physical

0:08

health, and performance.

0:11

I'm Andrew Huberman, and I'm a professor

0:13

of neurobiology and opthalmology at

0:16

Stanford School of Medicine. Today we

0:18

are going to discuss how we

0:19

conceptualize grief both at an emotional

0:22

and at a logical level. I'm going to

0:24

teach you about the neuroscience and the

0:26

psychology of grief and incredible

0:29

findings that have been made in just a

0:31

few key laboratories that point to the

0:34

fact that we essentially map our

0:37

experience of people in three

0:39

dimensions. I'll just give you a little

0:41

hint of what those dimensions are. They

0:43

relate to space, where people are, time,

0:46

when people are, I'll explain what that

0:49

means, and a dimension called closeness.

0:52

and how those three dimensions of space,

0:54

time, and closeness are what establish

0:57

very close bonds with people and are

1:00

what require remapping, reorganization

1:02

within our emotional framework and our

1:04

logical framework when we lose somebody

1:07

for whatever reason. The important thing

1:09

to point out is that grief is a process.

1:11

Like any biological or psychological

1:13

event, it has a beginning, a middle, and

1:15

an end. And I do believe that being able

1:17

to orient in terms of where you are in

1:19

that process can be immensely

1:21

beneficial, not just for predicting how

1:23

long it's going to last, but in order to

1:26

conceptualize the person or animal that

1:28

you lost in a way that allows you to

1:30

best preserve their memory while

1:32

maintaining your own functional capacity

1:34

in life. Along those lines, I want to

1:36

point out that grief and depression,

1:38

while they can feel quite similar in

1:40

certain ways and have overlapping

1:43

symptomology, loss of appetite,

1:45

challenges sleeping,

1:47

crying in the middle of the day for no

1:48

apparent reason, etc. They are

1:50

distinctly different processes. As we

1:53

wade into this important topic, I'd like

1:55

to emphasize some of the common myths

1:57

and misunderstandings about grief. Some

1:59

of the myths and misunderstanding arrive

2:01

from the beautiful work of Elizabeth

2:04

Kubler Ross, a psychologist who wrote

2:05

the famous book on death and dying. The

2:07

different stages of grief very quickly

2:10

are denial, anger, bargaining,

2:11

depression, and acceptance. But

2:13

unfortunately, those five stages were

2:15

sort of taken to be gospel for a long

2:17

time. And we now know based on

2:19

neuroiming, based on more in-depth

2:21

psychological evaluation, and frankly

2:24

more researchers and clinicians moving

2:26

into this area and observing that while

2:28

much of what Kubler Ross described does

2:30

hold true, it's not always the case. How

2:33

do I know this? Well, I know this

2:35

because brain imaging studies in

2:37

involving what's called functional

2:39

magnetic resonance imaging, fMRI, in

2:42

which you can evaluate which brain areas

2:44

are more active than others according to

2:46

blood flow, which correlates with neural

2:47

activity and so forth, teaches us that

2:50

the brain areas that are associated with

2:53

motivation and craving and pursuit are

2:56

some of the primary brain areas and

2:57

circuits that are activated in states of

3:00

grief. We understand also on the basis

3:03

of brain imaging studies that in order

3:06

to understand grief, we have to

3:08

understand how attachments are

3:10

represented in our brain. And it turns

3:12

out that both attachments and the

3:14

breaking of attachments in healthy ways

3:16

are governed by three important what we

3:18

call dimensions. The three dimensions of

3:22

relating to someone or an animal or a

3:25

thing are space, time, and closeness.

3:30

And in order to illustrate each one and

3:32

how they work together to support

3:34

relationships and their involvement in

3:36

the grieving process, I'm going to tell

3:38

you about an experiment. The experiment

3:40

involves putting people into a brain

3:42

scanner that allows the researcher to

3:44

evaluate brain activity in different

3:47

areas. In fact, can look in a very

3:49

non-biased way, not make any predictions

3:51

about which brain areas are going to be

3:53

involved. And the experiment is the

3:55

following.

3:56

The person I should say the research

3:59

subject first sees images of things that

4:02

reside at different distances from one

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another. So in one case it's a beach or

4:07

a parking lot with bowling balls set at

4:10

different distances from one another.

4:13

Their brain is imaged and as their brain

4:16

is imaged they see different pictures of

4:19

different scenes, the beach, the parking

4:21

lot, etc. bowling balls spaced in

4:24

different ways. Close together, far

4:25

apart, regularly spaced, non-regularly

4:28

spaced. When one does this sort of

4:30

experiment, you see a lot of brain areas

4:31

activated. Not surprisingly, the visual

4:34

cortex, the area of the brain that is

4:35

responsible for creating visual

4:37

perceptions, but also a brain area that

4:41

seems uniquely tuned to the distance

4:44

between you and the objects. We'll refer

4:47

to that measure, that dimension, as we

4:50

call it, as proximity. Then subjects

4:53

listen to tones. Those tones also are

4:56

spaced from one another. So it could be

4:58

something as simple as my hand uh

5:01

meeting the table top that I'm happen to

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be sitting in front of. So it's

5:08

they image the brain. Of course, areas

5:11

of the brain they're associated with

5:12

auditory perception are active, not

5:14

surprisingly. But as they evaluate

5:17

different types of sounds and patterns

5:18

of sounds, for instance,

5:24

they can start to parse brain areas that

5:26

seem uniquely tuned to the spacing of

5:29

sounds independent of what sounds are

5:32

coming in. that is it becomes active

5:34

specifically in response to changes in

5:37

the spacing between sounds much in the

5:39

same way as they could identify brain

5:40

regions that were only activated when

5:43

there were changes in the distance

5:44

between objects such as the bowling

5:46

balls that I used in the previous

5:48

example and then the subjects saw a

5:50

different set of images that they saw

5:53

were of people and of faces and some of

5:56

the images that they saw were of

5:58

people's faces right up close and other

6:01

images were of people at a distance

6:03

where you could see the whole body of

6:05

the person. Now they also varied the

6:08

emotional relationship to those people.

6:10

That is they were able to get

6:12

photographs from these research subjects

6:14

lives. So they could show them pictures

6:16

of for instance their sister or some

6:19

random person off the street. They could

6:21

show them pictures of a parent or of a

6:25

neighbor or of a celebrity that's

6:28

well-known or of somebody that they

6:30

didn't know at all. So, they were able

6:32

to vary both the position of the person,

6:35

close or far, and they were able to vary

6:38

the emotional distance to the person,

6:41

which is this dimension that I'm

6:42

referring to as closeness, which is not

6:44

physical closeness, but how attached or

6:47

how well you know somebody. Now this is

6:49

may be sounding like a somewhat

6:51

complicated experiment but the takeaway

6:52

from this experiment is exquisitly

6:55

simple and exquisitly important. The

6:58

result was that in all three conditions

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changes in the physical spacing of these

7:07

objects changes in the temporal that is

7:11

the time spacing of these sounds and

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changes in the emotional distance

7:15

between the subject and different

7:17

people. the same brain area was uniquely

7:21

activated. And that brain area, it turns

7:24

out, is a brain area called the inferior

7:27

parietal lobule. The inferior parietal

7:29

lobule. Now, you don't need to know

7:31

where the inferior parietal lobule is.

7:33

In fact, you don't even need to know the

7:35

name of this brain area. What you do

7:37

need to know however if you want to

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understand grief and how to move through

7:40

grief is that your map of people is not

7:44

a map of emotional closeness per se. It

7:48

is a map of emotional closeness what we

7:51

call attachment that is interwoven that

7:54

is braided in in a very intimate way

7:57

with your map of where they are in

8:00

physical space and where they are in

8:02

time. when you saw them last, when

8:04

you're likely to see them again, and if

8:07

you were to want to see them, how much

8:10

time it would take to reach them or for

8:12

them to reach you. Now, earlier I said

8:15

that one of the key functions of our

8:16

nervous system is to be able to make

8:18

predictions. And so it's somewhat

8:21

obvious but nonetheless important to

8:23

state and restate that one of the most

8:26

powerful aspects of our attachments to

8:29

people, animals, and things is our

8:32

ability to predict what it would take to

8:34

see them again and when we are going to

8:36

see them again. Now if all of this

8:37

sounds like a bunch of neuroscycho

8:42

babble parsing of the obvious, I'd

8:45

encourage you to suspend that belief for

8:47

the moment. Because if you understand

8:48

that all relationships are mapped in the

8:51

brain and body through these three

8:52

dimensions space, time and closeness or

8:55

proximity of space, proximity in time

8:59

and proximity of attachment, how close

9:02

or rich or bonded you are to someone.

9:07

Well, if you can understand that, then

9:10

it almost becomes obvious or at least it

9:13

becomes intuitive as to why after the

9:16

loss of somebody in particular a death

9:18

or the loss of an animal, this map has

9:21

to be reordered. Why? Because if we are

9:25

attached to someone or an animal at a

9:28

deep level, it is almost always on the

9:31

basis of a lot of what we call episodic

9:34

experience, a lot of episodic memories.

9:36

memories of things that happened.

9:38

Episodic memories are literally the

9:41

conscious recollection of your

9:43

experience of somebody or an animal or a

9:46

thing. And within that memory, you have

9:50

an understanding of what has happened

9:52

with them in association to you, what's

9:55

going on with them, where it happened,

9:57

when it happened. When somebody is taken

10:00

away from us for whatever reason,

10:03

episodic memories persist for some

10:05

period of time and they are still linked

10:08

to our feelings of attachment.

10:10

Grief is the process of uncoupling,

10:13

unbraiding and untangling that

10:16

relationship between where people are in

10:18

space, in time, and our attachment to

10:20

them. This is very, very hard to do. And

10:23

for some people, it's almost impossible

10:26

to do at least at the outset of grief.

10:28

When we have a rich catalog of

10:31

experiences with somebody or of them,

10:33

that memory bank is not just flushed out

10:36

the moment that we learn that they're no

10:39

longer with us. What happens is the

10:41

brain continues to make these

10:43

predictions that they will be in a

10:44

certain place or a certain time, right?

10:47

That they'll be in a certain time zone

10:48

or they'll walk in the door any moment.

10:51

All of those predictions still hold. The

10:52

neural activity continues. We call this

10:54

reverberatory activity. That explains

10:57

the yearning for and the desire to

10:58

interact. And yet, it's just beyond our

11:00

reach. Because once they're gone, our

11:03

brain still functions in a way. These

11:05

neural circuits still function in a way

11:08

that put us into an action state of

11:10

seeking them, looking for them in the

11:12

same location, expecting them to contact

11:14

us at whatever frequency that we were

11:16

used to hearing from them or that we

11:18

could reach out to them and reliably get

11:19

a response.

11:22

It is immensely disorienting. In other

11:24

words, to maintain a close attachment

11:28

and at the same time to not be able to

11:31

make predictions about where that

11:33

person, animal or thing is in space and

11:36

time. So with this current understanding

11:39

in mind, a few things start to become

11:42

obvious and entirely normal to us in the

11:45

best and most healthy sense of the word

11:48

normal. For instance, if you've lost

11:50

somebody or an animal or even a thing

11:53

that was vitally important to you, it

11:55

should make perfect sense to you as to

11:57

why you keep looking for that person.

11:59

Those expectations, those predictions

12:02

that the brain is making are entirely

12:05

normal because they are based on that

12:08

deep catalog of episodic memory that you

12:10

maintain about that person. Again, it's

12:12

simply an activation of this map that

12:15

involves closeness, space, and time. Not

12:18

surprisingly then the reordering of that

12:22

map that's required in order to move

12:24

through the grieving process is going to

12:26

involve some remapping. Psychologists

12:29

and neuroscientists generally agree that

12:31

the best way to approach moving through

12:33

grief is actually to remap these

12:36

dimensions while maintaining the close

12:39

sense of attachment to the person by not

12:43

in any way trying to undermine the

12:45

intensity of the attachment or how

12:47

important it was to you. So we'll now

12:48

talk about how that process works and

12:52

the different entry points as they're

12:54

called to engaging in that process.

12:57

These are tools gleaned from the

12:58

research psychology, the clinical

13:00

psychology, and the neuroscience

13:01

literature. The first one involves the

13:04

acknowledgement and really the

13:06

understanding that you don't want to

13:08

disengage or dismantle your real

13:11

attachment to someone, an animal, or a

13:13

thing. That's a real thing. And there is

13:15

actually no adaptive reason to try and

13:18

persuade yourself or numb yourself or

13:21

somehow avoid the thinking of just how

13:23

much they meant to you.

13:25

What is important however is that you

13:26

make some effort to shift your mindset

13:29

and your understanding of that person in

13:32

a way that holds in mind that yes indeed

13:35

the attachment is very real and in some

13:38

cases is very very intense but is now

13:42

going to be uncoupled from the other two

13:45

dimensions of the map namely space and

13:47

time. So it's a complicated process you

13:50

can imagine but you really want to hold

13:52

and register two things at once. One way

13:54

to do this is to set aside a dedicated

13:56

period of time of maybe five or 10,

14:00

maybe even as much as 30 minutes in

14:02

which you are going to feel deeply into

14:04

your closeness and your attachment to

14:06

that person, animal, or thing. But you

14:09

are consciously going to try and prevent

14:12

yourself from thinking about a couple of

14:15

categories of things. First of all, you

14:18

want to actively try and disengage from

14:20

any attempt to engage in what's called

14:23

counterfactual thinking, the whatifs.

14:26

What if I had called them a day earlier?

14:28

What if they had taken a different route

14:31

home? What if I had taken a different

14:32

route home?

14:34

These counterfactual modes of thinking

14:37

are an infinite landscape of possibility

14:40

and they are very closely tied to guilt.

14:42

So as an infinite space, it's a very

14:44

precarious one. And it will not allow

14:46

you to uncouple that intense emotional

14:49

attachment that I'm telling you is

14:50

actually vital to hold on to from that

14:53

catalog of episodic memory that you've

14:55

established. In fact, it's going to

14:58

strengthen those bonds. So in this

15:00

dedicated five or 10 or 30 whatever

15:03

period of time you can tolerate and

15:05

maintain focus. The idea is to think

15:07

about your attachment in a rich way and

15:10

to perhaps even experience that in your

15:12

brain and body. This tool if you will of

15:14

dedicated blocks of time for really

15:16

spending some effort and it is indeed

15:18

effort to access the emotional

15:20

connection while starting to uncouple

15:21

the other nodes of the map as it were is

15:24

something that is hard. But in terms of

15:26

the options one has in order to deal

15:29

with grief, it is indeed the most

15:31

adaptive way to go about it. Now, I'd

15:33

like to consider why two people, both

15:36

who are intensely attached to a person

15:40

that is no longer there, can experience

15:43

the grief of the loss of that person in

15:46

such different ways. We don't really

15:48

know how other people feel. There's no

15:50

clear way of knowing that the expression

15:53

someone else has or whether or not

15:54

they're crying or not or their body

15:56

language really represents how they feel

15:58

inside. So that is important to keep in

16:00

mind. Nonetheless, there does seem to be

16:03

a sort of a split among people and

16:07

indeed among animals as well, even

16:10

within a species in terms of how

16:12

intensely they feel the yearning aspect

16:15

of grief. And it appears based on a

16:18

number of different lines of evidence

16:20

that that relates to this molecule that

16:22

some of you have probably heard of which

16:23

is oxytocin. Oxytocin is a

16:27

hormone/eptide. A peptide just means a

16:30

protein, generally a small protein. And

16:33

a hormone is generally something that

16:35

functions at numerous locations in the

16:36

body to impact numerous organs and areas

16:39

of the brain. Oxytocin

16:41

has a variety of roles in the brain and

16:43

body. It's involved in milk let down

16:45

during lactation. It's involved in pair

16:47

bonding both in males and females. It's

16:49

involved in bonding of parent to child

16:52

and indeed between romantic partners etc

16:56

etc. Let's talk about some of the animal

16:58

models that inform us about the

17:00

potential roles of oxytocin in the

17:01

grieving process.

17:03

There's a species of animal called the

17:05

prairie v. And believe it or not, the

17:07

prairie v has been studied fairly

17:09

extensively by neuroscience and

17:11

psychology researchers. Prairie vos are

17:13

one species of animal, but depending on

17:15

where they live, you find that some

17:17

prairie vos are monogamous, that is,

17:20

they mate with the same prairie vole for

17:22

life. They raise litters of little

17:25

prairie bowls, and other prairie vos

17:28

generally that live in different

17:29

locations in the wild are non-

17:32

monogamous, sometimes called polygamous.

17:35

The neurochemical and circuit basis for

17:37

this monogamy versus non- monogamy are

17:40

quite interesting. However, in the

17:42

context of grief and attachment, the

17:44

prairie bowl have taught us a lot. And

17:46

they've taught us a lot through the

17:47

following experiment. Take two prairie

17:49

vos that are coupled up. So, these would

17:51

be monogous prairie bowls that have

17:54

established a coupleum.

17:57

I guess you would call that a prairie

17:59

volum. Anyway, put them in a cage

18:01

together. They mate together. They raise

18:03

young together. And then you separate

18:06

them. You literally put a physical

18:09

barrier between the two of them. And you

18:11

can evaluate how strongly one prairie

18:15

bowl will work to get access to the

18:17

other prairie bowl. And what you observe

18:20

is that the monogous prairie vos will

18:22

work very hard to get back to their

18:24

mate. But the non- monogamous prairie

18:27

will not work as hard to access a

18:30

prairie vole partner. This turns out to

18:33

be interesting when you start to explore

18:36

the patterns of so-called oxytocin

18:38

receptors in the brain. To make a long

18:40

story short and to also bridge to the

18:42

human literature,

18:45

it turns out that the monogamous prairie

18:47

bowls have far more oxytocin receptors

18:51

in this brain area that I mentioned

18:52

earlier, the nucleus encumbent. And

18:55

again to remind you, the nucleus

18:56

encumbent is the brain area associated

18:58

with motivation, craving, and pursuit.

19:01

So it's as if the monogous prairie vos

19:04

have a capacity to link the attachment

19:08

circuitry and the molecules of

19:10

attachment in this case oxytocin to

19:13

reward pathways and to motivational

19:15

pathways. So in other words non-

19:18

monogamous prairie seem to have less

19:20

yearning for attachment overall at least

19:24

to a single individual prairie bowl. And

19:26

when we look at the human literature in

19:28

terms of oxytocin receptor expression

19:31

and brain imaging experiments and so on,

19:34

what you find is the same that people

19:35

that experience intense grief and a deep

19:39

yearning and a motivation to reconnect

19:42

with the person, animal or thing that is

19:44

lost in many cases have heightened

19:48

levels of oxytocin specifically or I

19:50

should say oxytocin receptors to be

19:52

exact specifically within the brain

19:55

regions associated ated with craving and

19:57

pursuit. So for those of you that find

19:59

yourself in this kind of stuck mode,

20:02

this persistence of trying to reach into

20:05

the past or wishful thinking, this um

20:08

counterfactual thinking, the yearning,

20:11

the desire and the impulsivity,

20:13

the kind of leaning in and at a almost

20:16

reflexive way to try and access that

20:19

person again, to text them, to want to

20:20

hear from them could, and I have to

20:23

highlight, could reflect the fact that

20:25

you just so happen to have more oxytocin

20:27

receptor or maybe more oxytocin overall

20:30

in this brain area that's associated

20:32

with motivation and pursuit does not

20:35

necessarily mean that you are more

20:37

capable of attachment than people who

20:39

move through grief more quickly and I

20:42

should say that people move through

20:44

grief at different rates even if two

20:46

people lost the same person or same

20:48

animal people move through this at

20:50

different rates and some of that is no

20:51

doubt psychological but some of it no

20:54

doubt is also neurochemical and bi

20:57

biological. I'd like to take a moment

20:59

and explore this idea that allowing

21:02

ourselves to really feel the attachment

21:04

to somebody can accelerate or at least

21:06

support adaptive transitioning through

21:09

grief. There's a really wonderful study

21:12

that on the face of it appears to be a

21:15

what we call negative result. A negative

21:17

result is when a hypothesis is posed and

21:20

then turns out the hypothesis is not

21:22

true. But as is the case with so many

21:24

interesting scientific findings, often

21:26

when there's a negative result, there's

21:28

a more interesting result nested in that

21:30

negative outcome. And this is the case

21:32

in a particular paper I'll share with

21:34

you now. This is a paper published in

21:35

the journal biological psychology. And

21:38

again, the title is posed as a question

21:40

which is emotional disclosure for whom?

21:43

A study of veagal tone in bereavement.

21:45

What this study explored was whether or

21:48

not written disclosure of the emotional

21:51

connection to somebody that was lost

21:53

would be effective as a way for people

21:55

to move through the grieving process.

22:00

The study also explored the so-called

22:02

vagus nerve. The vagus nerve is an

22:03

extensive nerve pathway that is

22:05

birectional between brain and body. So

22:07

brain to body and body to brain. The way

22:09

to think about it in terms of what we're

22:11

going to talk about now is heart rate

22:14

and heart rate variability. The vagus

22:16

nerve is generally associated with

22:18

parasympathetic functions and has the

22:21

capacity to slow down our heart rate in

22:24

particular by exhales and just simply

22:27

because of the movement of the diaphragm

22:28

and its relationship to the heart and

22:30

the thoracic cavity. Exhales result in

22:34

slowing down of the heart rate. This is

22:36

what we call an increased veagal tone.

22:39

Now in this study what they did is they

22:41

had people and I should say it was 35

22:44

participants go through a writing

22:46

exercise for a period of weeks and there

22:48

were two different groups. One group was

22:52

in the so-called written disclosure

22:53

group. What they did is they on day one

22:56

they would write about what happened

22:57

when a loved one died and indeed they

23:00

used people who had experienced real

23:02

loss. And so they were asked to talk

23:05

about and write about their deepest

23:07

emotions and thoughts about it, memories

23:10

of their loved one. Very intense stuff

23:11

if you think about it. If they're in the

23:13

immediate period of having lost someone,

23:15

then they actually were asked to write a

23:17

letter to the person that they lost. The

23:19

other group was a so-called control

23:20

group where they were simply told to

23:21

write about how they use their time. So

23:23

an emotionally kind of empty writing

23:25

exercise, if you will. They describe

23:27

what they would do today after they woke

23:28

up, etc. No, no heavy emotional content

23:31

and so on. What I didn't tell you thus

23:33

far is why they had them do this

23:35

exercise at all. They had them do this

23:36

exercise because many of the effective

23:38

practices for moving through grief

23:40

involve, as I mentioned earlier, getting

23:44

close to and actually deliberately

23:46

experiencing the attachment that one has

23:49

to that person that was lost. Not

23:50

distracting oneself, not getting into

23:53

this counterfactual thinking, the what

23:54

if, what if, what if, but rather

23:56

thinking about or in this case writing

23:58

about the real attachment. And so the

24:01

the initial idea was if people write

24:03

about this attachment that they're going

24:04

to experience this attachment and that

24:06

will serve them in some or many ways in

24:08

terms of moving through grief. And that

24:10

wasn't what they found. They found no

24:12

difference between the two groups until

24:15

they explored who had higher veagal

24:17

tone, who had a greater degree of

24:20

so-called respiratory sinus arrhythmia.

24:23

In other words, who was able to modulate

24:25

their state using their breathing and

24:28

their body. And what they discovered was

24:30

that a subset of individuals who had a

24:33

high degree of veagal tone seemed to get

24:35

more benefit from this writing type

24:38

exercise. Now this is one study and I

24:41

would consider it fairly preliminary

24:42

with 35 subjects although you know it's

24:45

a study unto itself and I think a quite

24:47

nice one and it really set the stage for

24:50

a number of other studies that followed

24:51

from this group and other groups that

24:53

really point to the fact that yes indeed

24:56

accessing these states of emotionality

24:59

by writing or thinking about somebody is

25:01

quite powerful in terms of engaging the

25:04

bodily states and the mind states

25:06

associated with the attachment and that

25:07

is very beneficial. for moving through

25:09

grief. That is very beneficial for

25:12

sensing the attachment. And now it makes

25:15

perfect sense as to why some people

25:17

would benefit from that sort of practice

25:18

more than others because some people are

25:20

able to access more real somatic

25:23

feelings of attachment by writing about

25:25

the attachment or by thinking about it

25:27

than others. Because again what this

25:29

paper really points to and set off a

25:31

number of other investigations related

25:33

to is that for those that can really

25:36

feel the relationship between breathing,

25:38

heart rate, what we call veagal tone.

25:40

Well, those people are going to be in a

25:43

better position to move through grief

25:45

not because they are disengaging from

25:47

the feelings of attachment but because

25:49

they are better able to access those

25:51

feelings of attachment. So what this

25:53

relates to, of course, is that

25:55

tripartite map, that threepart map that

25:57

we talked about earlier, that

26:00

representation of space, where things

26:01

are, where the person is, where their

26:03

belongings are, where their car is,

26:05

where their bicycle is, time, when you

26:07

were expecting to see them on a regular

26:09

basis, when they would call, when they

26:12

would come home from work, etc. And that

26:15

third node or that third dimension of

26:16

attachment, which is literally

26:18

attachment and closeness. Now, I'd like

26:20

to take a moment and consider some of

26:22

the tools that you can access that

26:24

support healthy transitioning through

26:26

grief. And these are tools distinct from

26:28

that neural map, that space, time,

26:30

closeness, attachment map that we were

26:32

talking about before. Rather, it's

26:34

important to remind ourselves that

26:37

everything exists in a context of our

26:39

baseline physiology. And I'm certainly

26:42

not going to be the first or the last to

26:44

tell you that everything in life,

26:46

learning, relationships with people that

26:48

are still around.

26:51

Our health in every way, immune system,

26:53

etc., function far better when we're

26:54

sleeping really well. And when we are

26:57

generally awake during the daytime and

26:59

asleep at night, there's a particular

27:01

feature to our dural and dial meaning

27:04

the opposite of nocturnal. Our dal

27:06

pattern of the release of a hormone

27:09

called cortisol. It's linked to our

27:11

increase in temperature rhythms and can

27:14

further increase our temperature which

27:16

leads to waking and so on. The typical

27:19

pattern of cortisol in a healthy

27:21

individual and we really can say

27:23

physically and emotionally healthy

27:25

individual is that cortisol is going to

27:27

be somewhat high right around waking and

27:30

then is going to be highest as it ever

27:32

will be in the 24-hour period about 45

27:35

minutes post waking. Not exactly 45

27:38

minutes, but about 45 minutes. And then

27:40

it will drop gradually such that by

27:43

about 4 pm in the afternoon, which is

27:45

actually when body temperature tends to

27:48

start to drop as well. Cortisol tends to

27:50

be very low and then remains low in a

27:53

healthy individual such that at 900 p.m.

27:55

it's very low and throughout the night

27:57

as we sleep it's very low. There's a

28:00

very interesting paper exploring the

28:02

relationship between cortisol rhythms

28:05

and grieving. in particular complicated

28:07

versus non-complicated grieving. Again,

28:09

complicated grieving being the form of

28:10

grieving that reflects a immense

28:13

challenge of people moving through the

28:15

grieving process such that it really

28:16

needs to be dealt with. Right? Again,

28:19

grieving is healthy, but complicated

28:21

grieving is a prolonged grieving and has

28:23

other dimensions as well. Hence the name

28:25

complicated. The title of this paper is

28:27

dal cortisol in complicated and

28:30

non-complicated grief slope differences

28:32

across the day. And the figure to orient

28:35

to in this paper if you do decide to

28:37

check it out is figure one which

28:40

beautifully shows or I should say very

28:43

clearly shows that when you compare the

28:45

cortisol levels between people

28:47

experiencing complicated grieving versus

28:49

non-complicated grieving. What you find

28:51

is the 4pm and 900 p.m. cortisol levels

28:55

are significantly higher than they are

28:58

in the non-complicated grieving group.

29:00

This raises a very interesting idea. We

29:03

arrive at a scenario where it makes very

29:06

good sense to think about modulating

29:09

that is controlling the foundation of

29:11

your life in a way that establishes

29:14

cortisol rhythms and sleep patterns and

29:16

patterns of autonomic arousal and

29:18

catakolamine release that position you

29:20

to navigate the grief process in the

29:23

best possible way. If you are somebody

29:25

who is heading into grief or is

29:28

challenged with grief, getting adequate

29:30

sleep at night and establishing as

29:34

normal a pattern of cortisol as possible

29:36

is going to be very important. And

29:38

there's a very simple straightforward

29:40

way to do this. And I apologize to the

29:42

listeners of this podcast in advance if

29:43

I sound like a repeating record, but the

29:45

most powerful way to do this is to view

29:48

sunlight very close to waking. It does

29:51

not have to be right at sunrise, but

29:53

when you get up in the morning, if the

29:55

sun isn't out, please turn on as many

29:57

bright lights as possible in your

30:00

environment. Why do I say this thing

30:02

about sunlight over and over and over

30:03

again? Well, having an early day

30:06

cortisol peak and a very low cortisol

30:09

level late in the day, 4 p.m. and 9:00

30:11

p.m., is immensely beneficial. It's

30:14

reflects a properly regulated autonomic

30:16

nervous system. It means being alert

30:18

during the day and your ability to sleep

30:19

at night isite tightly correlated to

30:21

this viewing of sunlight in the morning.

30:24

If you have additional questions about

30:25

this or these protocols, please see our

30:28

mastering sleep episode also at

30:30

hubermanlab.com. So, what are the tools

30:32

that we can think about using in terms

30:34

of healthy adaptive moving through

30:36

grief, trying to avoid complicated grief

30:38

and prolonged grief disorders? Clearly,

30:42

it's a value to dedicate some period of

30:44

time, perhaps every day, perhaps every

30:47

other day, depending on your capacity

30:49

and schedule.

30:51

These could be periods of time ranging

30:52

anywhere from 5 to 45 minutes, maybe

30:54

longer. These blocks of time would be

30:58

appropriately described as rational

31:00

grieving. Rational grieving is a clear

31:03

acceptance of the new reality that the

31:06

person, animal, or thing no longer

31:07

exists in the same space-time

31:09

dimensionality that we knew them before

31:11

and yet holding on to and anchoring to

31:14

the attachment that we had. This is

31:16

really anchoring to the depth and the

31:18

intensity of the attachment that existed

31:20

as a way to, for lack of a better way to

31:23

put it, push off from those episodic

31:26

memories, to distance ourselves from

31:28

them because those episodic memories are

31:30

the ones that lead us to look for the

31:32

person in our current reality. And

31:34

assuming this is a real and complete

31:36

loss, those sorts of expectations are

31:39

maladaptive. They do not serve us well.

31:42

The second aspect of this is to

31:44

understand that the node of the map, the

31:48

component of the neural map that you're

31:49

anchoring to is a very real component of

31:51

you. These are literally cells that

31:53

represent the depth of attachment. We

31:55

talked a moment ago about the importance

31:57

of accessing quality sleep on a regular

31:59

basis. There again a rich array of tools

32:02

to do that in the mastering sleep

32:04

episode. And again highlighting the

32:05

importance of sleep for not just emotion

32:08

regulation and autonomic control which

32:11

is so vital but also for making sure

32:12

that neuroplasticity takes place because

32:14

again neuroplasticity is a two-part

32:16

process. There's the triggering of the

32:17

plasticity which in the case of the

32:20

things we're talking about today will be

32:21

naturally activated by the practice of a

32:24

dedicated focusing on the attachment

32:26

feeling the attachment to the person

32:27

maybe even writing about the attachment

32:29

to the person as was described in that

32:31

previous study. but also just the

32:34

plasticity is triggered by the mere loss

32:37

of that person, the intensity of that

32:38

experience. But neuroplasticity, the

32:40

literal rewiring of connections occurs

32:43

during deep sleep and in what I call

32:45

non-sleep deep rest or NSDR. And you can

32:47

find NSDR scripts. These are short

32:49

behavioral protocols that you do for 10

32:51

to 30 minutes at some point throughout

32:53

the day, maybe even multiple times

32:54

through day that have been shown to

32:56

accelerate neuroplasticity. So having a

32:59

such a practice can be very useful and

33:01

understand that it involves some

33:03

cognitive work. We have to hold on to

33:04

the attachment and imagine and feel as

33:07

much as we can the attachment while also

33:09

being extremely rationally grounded and

33:12

trying to not try to hold on to the past

33:16

trying to not anticipate the person

33:18

walking in the room. This is very hard

33:20

because when we think about the

33:22

attachment, the attachment tends to drag

33:23

with it those episodic memories, that

33:27

rich catalog of experiences. And we

33:29

talked about preparing ourselves for

33:31

grief. We can prepare ourselves to

33:33

grieve more adaptively by regulating the

33:36

level of catakolamines, in particular

33:38

epinephrine, and tools such as the one

33:41

found in our mastering stress episode

33:43

and tools of the sort that we talked

33:44

about today, increasing that veagal tone

33:48

by actively building up the relationship

33:50

between exhales and slowing down of the

33:53

heart rate, so-called respiratory sinus

33:55

arhythmia. Those things can be very

33:56

useful tools. And of course, I want to

33:59

restate again, it is often important to

34:01

access a trained professional

34:02

psychologist or psychiatrist or both or

34:05

bereavement group or or all of the above

34:08

in order to get the proper support for

34:10

grieving. I like to think that the tools

34:12

that we've talked about today would be

34:14

not only compatible but would be

34:16

complimentary to the sorts of approaches

34:18

that they take. And I would encourage

34:20

you to not lean away from but rather to

34:23

lean into the building of those episodic

34:25

memories to build up a richer and richer

34:28

set of experiences and emotional

34:30

attachments. Because while the process

34:32

of grieving is in direct relation to how

34:35

close we are attached to people, there

34:37

are ways to move through it. And of

34:39

course, it is the depth of our

34:40

attachments and the number and the depth

34:42

of meaning of experiences that we share

34:44

with others and with animals that makes

34:46

life so rich and worth living. So, I

34:49

just want to take a moment and say thank

34:50

you for being willing to explore this

34:53

rather complicated and sometimes

34:55

extremely challenging thing that we call

34:57

grief from the perspective or through

34:59

the lens of neuroscience and psychology.

35:02

And last, but certainly not least, thank

35:04

you for your interest in science.

Interactive Summary

This video episode of the Huberman Lab explores the neuroscience and psychology behind grief. It explains that our brains map relationships through three core dimensions: space, time, and emotional closeness. Grief is characterized as a process of remapping these dimensions after a loss, which involves decoupling the deep attachment from the expectation that the person or animal is still present in space and time. The episode provides actionable, science-based tools for healthy grieving, including the practice of 'rational grieving' to acknowledge attachment while accepting the new reality, the importance of maintaining sleep and cortisol rhythms, and the potential benefits of emotional disclosure exercises.

Suggested questions

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